Gall / Payne-James | Current Practice in Forensic Medicine | Buch | 978-0-470-74487-1 | sack.de

Buch, Englisch, 348 Seiten, Format (B × H): 177 mm x 251 mm, Gewicht: 899 g

Gall / Payne-James

Current Practice in Forensic Medicine


1. Auflage 2011
ISBN: 978-0-470-74487-1
Verlag: Wiley-Blackwell

Buch, Englisch, 348 Seiten, Format (B × H): 177 mm x 251 mm, Gewicht: 899 g

ISBN: 978-0-470-74487-1
Verlag: Wiley-Blackwell


Although forensic medicine has been in existence for centuries in one guise or another, it is only with the recent growth in international research that it has begun to be acknowledged as a specific discipline in its own right. Many areas of progress are being made and this text aims to provide a unique, in-depth and critical update on selected topics that are of direct relevance to those practicing in the field including lawyers, police, medical and dental practitioners, forensic scientists and postgraduate/undergraduate medical students and undergraduate law students preparing for forensic medicine examinations.
This volume is designed to cover the wider aspects of forensic medicine, including the law, science, medicine (forensic pathology, clinical forensic medicine and forensic psychiatry) and dentistry. Topics covered include subjects of debate and/or uncertainty in areas where significant advances have been made and in those of current relevance to the forensic profession, Chapters provide a variety of approaches to the areas under discussion with reviews of current knowledge, information on significant changes and pointers to the future that the reader should be aware of.

Features:

- An authoritative review, for forensic medicine practitioners throughout the world, from leading international experts in the field.
- Provides critical commentary and updates on current practice.
- Topics include: a guide to the presentation of forensic medical evidence, bioterrorism, the paediatric hymen, assessment and interpretation of bone trauma in children, adult sexual assault, genital photography, forensic photography, common errors in injury interpretation, self-inflicted injuries and associated psychological profiles, bite marks and the role of the pathologist in aviation disasters.
- Includes a wealth of four colour figures to illustrate key points discussed within the text.

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Weitere Infos & Material


List of Contributors ix

Foreword xvii

Preface xix

Chapter One: Expert evidence and healthcare professionals 1

Introduction 1

The adversarial system of justice 2

Expert reports 3

Evidentiary exclusionary rules 3

Pre-trial preparation for expert witnesses 5

Appearance 6

Timeliness 7

Giving of evidence 7

Managing cross-examination 10

Summary 14

References 14

Chapter Two: Forensic investigation of biological weapon use 17

Introduction 17

A choice of words 17

Threat assessments 18

Presenting features 22

Forensic microbiology or microbial forensics? 25

Assembling evidence from emerging infectious disease biology 26

Current constraints 34

References 34

Appendix 37

Chapter Three: The paediatric hymen 43

Introduction 43

Studies of normal anatomy 44

Studies of genital findings in sexually abused girls 49

Studies of acute injuries as they heal 54

A consideration of test reliability 56

Putting it all together 58

References 59

Chapter Four: Assessment and interpretation of bone trauma in children 63

Introduction 63

How should I evaluate suspected bone trauma in children? 64

What radiological investigations identify bone trauma? 68

How do X-rays detect fractures? 69

How does ultrasound detect bone injury? 73

How do nuclear medicine scans detect bone injury? 74

How does MRI detect bone injury? 75

How are medical images presented and shared? 78

What forces cause bones to fracture? 79

Are some bone injuries diagnostic of child abuse? 80

What do we know about bone healing in children? 82

What tests detect fragile bones? 83

Neonates with fractures: what are the special considerations? 85

Can the time of bone injury be determined? 87

Why might an X-ray be reported as normal when bone trauma exists? 87

Why might an ultrasound appear normal when bone trauma exists? 87

Why might a nuclear medicine scan appear normal when bone trauma exists? 88

Why might an X-ray appear abnormal when no bone trauma exists? 88

Why might a nuclear medicine scan appear abnormal when no bone trauma exists? 89

How do I deal with correctly interpreted but discordant imaging findings? 90

A. Why might an X-ray appear normal and bone scan ‘hot’ when bone trauma exists? 90

B. Why might a fracture seem obvious on plain X-ray but bone scan is ‘cold’ when bone trauma exists? 90

When and why should I repeat X-rays? 91

How does the process of forming a forensic medical opinion differ from the process of diagnosis in clinical medicine? 91

Why do I need to be aware of my level of confidence in my medical diagnosis? 91

What factors should I consider when forming a diagnostic opinion about the cause of a child’s fracture? 92

References 93

Chapter Five: Adult sexual assault 95

Introduction 95

Sexual assault settings and characteristics 96

Findings after sexual assault 101

Toxicology and sexual assault 116

Forensic science and sexual assault 116

Treatment after sexual assault 117

Summary 118

References 118

Chapter Six: The ethical and medical aspects of photodocumenting genital injury 123

Introduction 123

Sexual assault 126

Imaging the body in the history of medicine 126

Photography 128

The evolution of the photography of genital injury 129

A particular Australian’s experience 132

Ethics of care 140

Why no ethical objection to children being photographed? 141

The difference that being a child makes and its relevance 142

Advancing the question of best ethical practice 143

Clinical forensic medicine and sexual assault 150

Conclusion 152

References 153

Appendix 157

Chapter Seven: The photography of injuries 159

Introduction 159

The image 160

Equipment 161

Illumination 163

Polarizing filters 164

Forensic scales 164

The photography of an injury 164

The colour control or reference 166

Cross-polarized photography 167

Reflected ultraviolet 172

Infrared 181

Long wave ultraviolet-induced fluorescence 184

Imaging file format 188

The audit trail 189

Conclusion 190

Acknowledgements 191

References 191

Further reading 191

Chapter Eight: DNA analysis: Current practice and problems 193

Introduction 193

DNA collection and storage 194

DNA extraction 196

DNA quantification 196

DNA amplification 199

DNA separation and detection 200

DNA genotyping 201

Standard loci sets and commercial STR kits 202

Statistical evaluation of a DNA match 203

Assessing STR profiles 208

Mixtures of DNA 213

Degraded DNA 217

Low-template DNA 217

Other genetic markers 221

Tissue identification 228

Use of DNA in the criminal justice system 229

References 231

Chapter Nine: Injury interpretation: Possible errors and fallacies 239

Injury visualization 241

Nomenclature 244

Photography 245

Aging of injuries 248

Force of injury 253

Medical limitations and considerations 255

Genito-anal injuries in the adult 255

Child abuse 258

Self-inflicted injury 262

Other specialist opinions 263

Opinions 266

How to avoid errors 267

References 268

Chapter Ten: Self-inflicted injuries and associated psychological profiles 273

Introduction 273

Forensic aspects of self-harm 273

Psychiatric aspects of self-harm 280

Epidemiology 281

Classification of self-harm 282

The clinical dilemma 284

Management 285

Long-term outcome 286

Conclusion 286

References 288

Chapter Eleven: Bite marks 291

Introduction and cautionary remarks 291

Animal bites 291

Other injuries mimicking bites 294

Bites in foodstuffs 295

Examination of injuries in the dead 296

Examination of the living 300

Examination of the suspect 301

Trends in bite-mark analysis 303

Acknowledgement 306

References 306

Further reading 307

Chapter Twelve: Aviation disasters: The role of the forensic pathologist 309

Introduction 309

The scene 309

The autopsy 311

Establishing the cause of death 314

Circumstances surrounding death 317

Forensic pathology report 320

References 321

Index 323


John Gall is a forensic physician in private practice, Director of Southern Medical Services, Principal of Era Health and is a staff specialist Forensic Physician in the Victorian Paediatric Forensic Medical Service, located at the Royal Children's Hospital and Monash Medical Centre, Melbourne. He is a member of the International Editorial Board of the Journal of Legal and Forensic Medicine and Internet Journal of Forensic Medicine and Toxicology. He has published widely in the field of clinical forensic medicine and has spent many years teaching forensic medicine to undergraduates and graduates.
JASON PAYNE-JAMES is a forensic physician. He is Honorary Senior Lecturer, Cameron Forensic Medical Sciences, Barts & the London School of Medicine & Dentistry, University of London, UK. He is Director of Forensic Healthcare Services Ltd. He is external Consultant to the National Policing Improvement Agency and to the National Injuries Database in the UK. He is Editor-in-Chief of the Journal of Forensic & Legal Medicine. He has published widely in the field of clinical forensic medicine. He has also co-edited, co-authored and contributed to numerous books in the field including Black, Aggrawal and Payne-James: 'Age Estimation in the Living' 2010 (Wiley Blackwell).



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